Volunteer Background Check Permission Form

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Volunteer Background Check Permission Form

XPastor tries to help churches by providing some of the essentials for running a church—items like job descriptions, employment applications, review forms and policies. Below is the Volunteer Background Check Permission Form of L2 Church in Denver, Colorado.

Name: (exactly as it appears on your Driver’s License) ___________________________________________________________________

DOB: _____________________ Gender: ________ Race: ___________________________

Phone Number: _________________________ Cell Number: _________________________

Address:_________________________________________________________________

Social Security #: __________________________ Driver’s License #: ___________________

Email Address: ____________________________________________________________

Emergency Contact Name and Phone Numbers: _______________________________________________________________________

Are you a member of L2? ___________ If yes, how long: _______________________________
If not a member, how long have you been attending L2? _________________________________

Have you ever been arrested for, charged with, under probation for or convicted of sexual abuse, physical abuse, maltreatment or neglect? ___________________________ Have you ever been arrested for, charged with, ticketed, under probation for, or convicted of possession, sale or use of controlled substances, alcohol or drugs? ____________ Have you been arrested or convicted or ticketed for any criminal act more serious than a traffic violation? ____________________________________

Have you ever been asked to step away from ministry or work with children in any setting, paid or volunteer? _______________________________________________________________

Waiver/Release:

I, the undersigned, give my authorization to L2 representatives to verify the information on this form. L2 may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability as a church volunteer working with children. The information contained in this application is correct to the best of my knowledge.

 

Date: _________________________ Signature: _______________________________

 

View original form’s PDF: Background Check Permission Form

By | 2016-10-12T11:00:47+00:00 December 14th, 2012|All Policies, Ministry Policy|

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